Organization
SCOOTERS AMERICA LLC
Active
Other names
American Seating & Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JESKE (MANAGING MEMBER)
(208) 773-8448
Entity
Organization
Contact information
Practice address
7525 NE AMBASSADOR PL STE B, PORTLAND, OR 97220-6808
(503) 253-4655
(503) 253-4640
Mailing address
12130 NE AINSWORTH CIR, SUITE 240, PORTLAND, OR 97220-9009
(971) 235-6186
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181416
—
OR
Enumeration date
02/14/2011
Last updated
07/26/2019
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